Smith, Jennifer
Smith, Jennifer is an individual health care provider with primary practice located at 1107 E Marshall Ave , Longview TX 75601-5602. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Smith, Jennifer can be contacted via phone (903) 758-2610.Contact Information
Primary practice address
1107 E Marshall Ave
Longview TX 75601-5602
Phone: (903) 758-2610
Fax: (903) 758-3124
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 30186 | Texas |
Dental Providers / General Practice | 1223G0001X | 30186 | Texas |
Profile Details
NPI number | 1396151817 |
---|---|
LBN Legal business name | Smith, Jennifer |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 3rd, 2014 |
Last updated | Jul 3rd, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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